Individual
COLTER WAYLON DEES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
PO BOX 4493, LAGO VISTA, TX 78645-0001
(361) 695-4049
Mailing address
PO BOX 4493, LAGO VISTA, TX 78645-0001
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
73908
TX
Other
Enumeration date
05/04/2024
Last updated
05/04/2024
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